Organization
SINNISSIPPI CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A GOOD CPA (VP/CFO)
(815) 284-6611
Entity
Organization
Contact information
Practice address
1126 HEALTHCARE DR, MOUNT CARROLL, IL 61053-1469
(815) 244-4200
(815) 244-4202
Mailing address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
(815) 284-2834
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/28/2011
Last updated
07/01/2021
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